MEDICARE: BARBARA A HOGLUND FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	1043309	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659346989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA A HOGLUND FNP

Provider Business Mailing Address
First Line	:	10081 DOGWOOD ST NW STE 100
Second Line	:
City	:	COON RAPIDS
State	:	MN
Zip	:	55448-5282
Country	:	US
Telephone Number	:	763-783-3722
Fax Number	:	763-783-7944

Provider Business Practice Location Address
First Line	:	10081 DOGWOOD ST NW STE 100
Second Line	:
City	:	COON RAPIDS
State	:	MN
Zip	:	55448-5282
Country	:	US
Telephone Number	:	763-783-3722
Fax Number	:	763-783-7944

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	03/11/2021

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